Dilaudid, A narcotic analgesic, is prescribed for the relief of moderate to severe pain due to:

Burns
Cancer
Heart attack
Injury (soft tissue and bone)
Renal colic
Surgery
High dose tolerance leading to mental and physical dependence can occur with the use of Dilaudid when it is taken repeatedly.

Physical dependence (need for continual doses to prevent withdrawal symptoms) can occur after only a few days of narcotic use, although it usually takes several weeks.
Take Dilaudid exactly as prescribed by your doctor. Never increase the amount you take without your doctor's approval.

If you miss a dose...Take the forgotten dose as soon as you remember. If it is almost time for the next dose, skip the one you missed and go back to your regular schedule. Never try to "catch up" by doubling the dose.

Storage instructions...Tablets and liquid should be stored at room temperature. Protect from light and extreme cold or heat. Suppositories should be stored in the refrigerator.
Side effects cannot be anticipated.

If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Dilaudid.

* More common side effects may include:

Anxiety, constipation, dizziness, drowsiness, fear, impairment of mental and physical performance, inability to urinate, mental clouding, mood changes, nausea, restlessness, sedation, sluggishness, troubled and slowed breathing, vomiting.

*Less common side effects may include:
Agitation, blurred vision, chills, cramps, diarrhea, difficulty urinating, disorientation, double vision, dry mouth, exaggerated feelings of depression or well-being, failure of breathing or heartbeat, faintness/fainting, flushing, hallucinations, headache, increased pressure in the head, insomnia, involuntary eye movements, itching, light-headedness, loss of appetite, low or high blood pressure, muscle rigidity or tremor, muscle spasms of the throat or air passages, palpitations, rashes, shock, slow or rapid heartbeat, small pupils, sudden dizziness on standing, sweating, taste changes, tingling and/or numbness, tremor, uncoordinated muscle movements, visual disturbances and weakness.
If you are sensitive to or have ever had an allergic reaction to Dilaudid or narcotic painkillers you should not take this medication. Make sure that your doctor is aware of any drug reactions that you have experienced.
Dilaudid may impair the mental and/or physical abilities required for the performance of potentially hazardous tasks such as driving a car or operating machinery.

Dilaudid should be used with caution if you are in a weakened condition or if you have a severe liver or kidney disorder, hypothyroidism (underactive thyroid gland), Addison's disease (adrenal gland failure), an enlarged prostate, a urethral stricture (narrowing of the urethra), low blood pressure or a head injury.

Dilaudid suppresses the cough reflex; therefore, the doctor will be cautious about prescribing Dilaudid after an operation or for patients with a lung disease. High doses of Dilaudid may produce labored or slowed breathing.

This drug also affects centers that control breathing rhythm and may produce irregular breathing. People who already have breathing difficulties should be very careful about taking Dilaudid. Narcotics such as Dilaudid may mask or hide the symptoms of sudden or severe abdominal conditions, making diagnosis and treatment difficult.

Dilaudid can cause seizures when taken in high doses and, if you have a seizure disorder, can make the seizures worse.
Dilaudid is a central nervous system depressant and intensifies the effects of alcohol. Do not drink alcohol while taking this medication. If Dilaudid is taken with certain other drugs, the effects of either could be increased, decreased, or altered.

It is especially important to check with your doctor before combining Dilaudid with the following:

Antiemetics (drugs that prevent or lessen nausea and vomiting such as Compazine and Phenergan)
Antihistamines such as Benadryl
General anesthetics
Other central nervous system depressants such as Nembutal, Restoril
Other narcotic analgesics such as Demerol and Percocet
Phenothiazines such as Thorazine
Sedative/hypnotics such as Valium, Halcion
Tranquilizers such as Xanax
Tricyclic antidepressants such as Elavil and Tofranil
* ADULTS

* Tablets...The usual starting dose of Dilaudid tablets is 2 to 4 milligrams every 4 to 6 hours as determined by your doctor. Severity of pain, your individual response, and your size are used to determine your exact dosage.
* Liquid...The usual dose of Dilaudid liquid is 1/2 to 2 teaspoonfuls every 3 to 6 hours. In some cases, the dosage may be higher.
* Suppositories...Dilaudid suppositories (3 milligrams) may provide relief for a longer period of time.

The usual adult dose is 1 suppository inserted rectally every 6 to 8 hours or as directed by your doctor.

* CHILDREN

The safety and effectiveness of Dilaudid have not been established in children. * OLDER ADULTS

Be very careful when using Dilaudid. Your doctor will prescribe a dose individualized to suit your needs.
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